Nurse Q has gathered data on his patient's behaviors and status regarding pain management while on his shift. These include: nonverbal behaviors, respiratory rate, and pain rating. Which phase of the PDSA cycle is Nurse Q working under?
a. planning phase c. studying phase
b. doing phase d. acting phase
B
By gathering data on his patient's pain status, Nurse Q has been acting according to the doing phase of the PDSA cycle. In the studying phase, Nurse Q would study the findings for this patient and others to help determine what processes might be improved to enhance pain management for the unit. In the acting phase, Nurse Q would implement the process improvement changes for pain management as decided by the pain management group for the unit and the health care provider. In the planning phase, Nurse Q would ask initial questions in order to plan appropriate care.
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A nurse is caring for a client from a different culture. Which of the following actions would be the most helpful for the nurse to take?
a. Ask to have a nurse from that culture assigned to the patient even if the nurse must be obtained from a different clinical area b. Be aware of cultural similarities and differences between the nurse and the client c. Explain that the patient must follow the rules of the hospital while a patient d. Verbalize the nurse's own discomfort, and ask for assistance with surmounting the cultural differences
The nurse should administer an analgesic to an unconscious patient after observing which sign(s)? (Select all that apply.)
a. Increased heart rate from 82 to 94 b. Decreased systolic blood pressure c. Increased muscle tension d. Perspiration on upper lip e. Facial grimacing
The nurse is caring for a client in the PACU who is ready for extubation. What should the nurse do before the endotracheal tube is removed?
a. Auscultate for bilateral breath sounds b. Check for Homans' sign c. Assess capillary refill d. Assess for Cullen's sign
Of the following common areas of conflict between nurses and their patients and families, which does the nurse interpret as the most easily resolved?
a. Issues of concern about quality of care b. Issues surrounding treatment decisions c. Issues of family involvement d. Issues about quality of parental care